# THRIVE BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568067023
- **Authorized official:** STEPHANIE CARPENTER NP (OWNER PROVIDER)
- **Authorized official phone:** (509) 552-9139

## Contact information

- **Practice address:** 605 JOSEPH AVE, WINCHESTER, ID 83555-5034
- **Practice address phone:** (509) 552-9139
- **Practice address fax:** (888) 814-2380
- **Mailing address:** 365 WITTERS COURT, CLARKSTON, ID 83555
- **Mailing address phone:** (509) 552-9139
- **Mailing address fax:** (888) 814-2380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 01/28/2021